Dr. Sarah Huen - 'What Is a Kidney Healthy Diet? Context Matters'

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Күн бұрын

Dr. Sarah Huen is a nephrologist, physician scientist, and an assistant professor at the University of Texas Southwestern Medical Center in Dallas, TX. Originally from Chicago, IL. Dr. Huen received her initial medical training at Northwestern University. She completed her Internal Medicine residency training at New York University Medical Center.
Intrigued by the pathophysiology of acute kidney injury and frustrated by the lack of any viable therapeutic options, she pursued a research nephrology fellowship and a Ph.D. degree in Investigative Medicine at Yale University in the laboratory of Dr. Lloyd Cantley studying the role of macrophages in ischemic kidney injury. She was a post doctoral fellow in the laboratory of Dr. Ruslan Medzhitov at Yale where she studied the mechanisms of tissue tolerance and changes in metabolism in systemic inflammation.
Dr. Huen has been investigating how the evolutionarily conserved response of anorexia to acute infection could be protective in bacterial sepsis, a severe inflammatory response to an infection. After experiencing how a low carbohydrate diet could achieve normal blood glucose (no more blood glucose rollercoasters) in her T1D husband, she is now investigating dietary influences on kidney metabolism using principles from evolutionary biology and biochemistry. She recently rescued 2 cats from a shelter and dry high carb kibble, and they are now enjoying a species appropriate diet, 100% raw carnivore. Outside of medicine and science, she enjoys cooking, photography and hiking.

Пікірлер: 122

@fidru 4 жыл бұрын

@min 1:00 "low carb diet, which I think should be redefined as a normal carb". well said.

@hektor6766 Жыл бұрын

I developed kidney stones about 10 years ago. No doctor mentioned any relation between insulin resistance and kidney stones, they would not hazard a guess on the cause. Five years ago, I developed a bad and persistent case of cutaneous candidiasis, in the groin and both armpits. Trying to find a treatment that would work, I discovered it is a prediabetic symptom, along with the skin tags and elbow patches I also had. Alarmed, I searched and found information of LCHF eating. I've been keto ever since, lost about 50 lbs of fat that had collected, all the skin problems disappeared, insulin sensitivity and blood work normalized, and I've had no kidney problems since.

@alexnewson6013 4 жыл бұрын

Another wonderful presentation from a hard working, dedicated and knowledgeable professional. Aren't we lucky....

@alphacause 4 жыл бұрын

Thank you for this presentation. My father died of end stage renal disease nearly 10 years ago, and this kidney disease was brought about about by being a type 2 diabetic. If we only had the information that we have today, with reference to the efficacy of low carb diets to reduce the very cause of his renal disease, he might still be here with us today. Moreover, his quality of life would have been so much better by not having to have endured regular exhausting dialysis, then getting a transplant which held up for about 8 years, and then falling back into regular dialysis again before his untimely death. Glycemic control, which no other diet besides a low carb diet can so quickly correct, is imperative for all people, especially those with renal dysfunction

@zainubfarooqi2506 3 жыл бұрын

My mother had high uric acid and cutting out red meat did nothing to reduce it, she had to be on medication to manage it. I got her off fruits and sugars and let her continue eating red meat. Her uric acid levels are normal without medication.

@amuslim3706 3 жыл бұрын

God bless you both.

@varunkamal91 3 жыл бұрын

I'm hearing this a lot... But whenever I eat meat I swell up everywhere including my face... I cut it out and replace with tofu and I feel better ... I have CKD stage 2

@user-bh8ns1vv8c 2 жыл бұрын

Hi, how is your mother doing now?

@RR-cm9re 2 жыл бұрын

As long time gout suffer i can tell you its not the uric acid its the sugar that causes the inflammation. Uric acid in itself does not cause the joint inflammation.

@CapreDiem86 Жыл бұрын

@@varunkamal91 it takes 3-4 weeks for you body to get used... I am on a carnivore diet too and it helps...

@ruthmoore1448 4 жыл бұрын

My friend has three cats, all 3 are obese and have urinary problems and diabetes problems. Nice to hear the reason why! Thank you.

@nameremoved4010 4 жыл бұрын

The ("my") cat is going to get a dietary change.

@sixfeetofjoy 3 жыл бұрын

Happened to my cat as well long ago. Now I have a dog and I cook for her.

@MalindaTamlyn 3 жыл бұрын

Raw food diet reversed my cats diabetes and slowed down his kidney disease.

@spark_6710 3 жыл бұрын

Please tell your friends not to feed dry foods as it cause lower urinary tract disease & kidney failures !!! Stay safe !💜💜💜🥁🐉🎵🎤🎶💞

@hektor6766 Жыл бұрын

I wish I could convince my wife to stop giving our cat and dogs the pet store food.

@sunnymagnuson1809 Жыл бұрын

The best nephrologist ive EVER heard speaking

@KetoMama777 4 жыл бұрын

Thank you for this information my husband was a stage 3 went on a carnivore diet now its improved stage 2. Border line diabetic now normal hbp 4 pills a day now 2 half pills. Diet does matter.👍

@sixfeetofjoy 3 жыл бұрын

Was he already on dialysis?

@spark_6710 3 жыл бұрын

We aren't carnivores !!! Cats die with kidney failures !!! The No.1 natural cause disease's death to all wild cats is KIDNEY FAILURE !!! As they are sheer carnivores !!! Meats are highly acidic foods & our blood is mild alkaline ,we need to alkalyze our bodies !!! Plants are ALKALIZING ,meats are acidifying foods ! This doctor is way off !!!

@spark_6710 3 жыл бұрын

Keto diets can cause diabetes ,be careful ! And also it can cause fatty livers ! I recommend you to monitor your liver carefully !! 💜🥁🐉🎵💕💞

@varunkamal91 3 жыл бұрын

How many grams of protein did he eat a day, if you don't mind..

@marekliban7366 3 жыл бұрын

@Keto Mama - Hey, how is your husband doing now?

@fdanel 4 жыл бұрын

Thank you so much for this in depth presentation. Experts from the Low Carb community usually assure that increased amounts of protein are not a risk for kidney function but never explain why. You just gave us these explanations. Thank you!

@yrulooknatme 4 жыл бұрын

probably one video i need to watch again and again till I get it!

@alphacause 4 жыл бұрын

There have been numerous articles written that now debunk the notion that eating lots of protein causes kidney disease. The only people that still perpetuate this myth are those who have not updated their knowledge, or dishonest vegan activists who have a vested interest in demonizing protein because animal foods are richest in protein, and have it in its most bioavailable and complete form. As Dr. Huen showed here (12:00 - 12:20), if hunter gather tribes can eat large amounts of protein and professional athlete can eat many times the RDA for protein , and not develop renal dysfunction, then the notion that protein has a deleterious affect on the kidneys is flat out wrong. The myth about protein adversely affecting kidney health comes from studies where an elevated protein intake showed problematic outcomes for those with PRE-EXISTING kidney disease. To extrapolate from that phenomenon to assert that increased protein consumption will lead to kidney disease in a person with normal renal function is about as erroneous as claiming that because walking on a fractured leg exacerbates the injury, therefore walking for healthy people is bad.

@maranscandy9350 4 жыл бұрын

It’s almost as if organs are made from protein instead of carbs. 👍

@miltonbates6425 4 жыл бұрын

I eat a lot of grass-fed beef kidneys and minimal carbs ... and my kidneys are much improved.

@Rocketscientist66 4 жыл бұрын

Hi Mr. Bates! How do you cook your beef kidneys, for those of us a bit squeemish to organ meats? Do you have a favorite recipe? I too, would like the benefits of all that good protein 🤓

@amuslim3706 3 жыл бұрын

What is the benefit of having kidney to the kidneys? I'm all for eating organ meats with few exceptions. Kidney being one of them because of the amount of waste that kidneys handle and the smell of urine. I would appreciate your insights and advice to help to see if it might change my mind. Thank you for your comment(s).

@underwaves75 Жыл бұрын

@@amuslim3706 personally I eat them raw. But always from healthy animals. Never would I do this with feedlot animals.

@underwaves75 Жыл бұрын

I’ve heard testimonies like this. One story was natives having a man with snow blindness eat the eyes of fish and it helped completely.

@tuvstar100 2 жыл бұрын

Thanks for this lecture!!! I have a child with CKD due to congenital malformation and piecing the right answer even from his nephrologist and dietitian has been excruciatingly difficult! I think this drives the point home very well that avoiding diabetes at all costs is key, and that protein isn’t the problem but that reduced kidney reserve is, I wish everyone dealing with non diabetic kidney disease could see this explanation and understand it, because the thing is that we are all being counselled to go on very low protein plant based diets, people see the creatinine etc go way down but they are probably going sarcopenic and becoming very frail…

@deckchaironthetitanic 4 жыл бұрын

Finally, a real doctor among a whole lot of MDs.

@genapruitt 3 жыл бұрын

Thank you so much for this extremely valuable and helpful information! You are quite genuinely helping me to save a friend's life! ❤❤

@toni4729 4 жыл бұрын

Thank you, very informative.

@robertkopp873 4 жыл бұрын

Excellent. Thank you.

@fattyfinn2505 4 жыл бұрын

Found reference to hyperthyroidism in cats over the last 40yrs. This would tie in with the introduction of dry manufacture foods for cats

@ellenorbjornsdottir1166 4 жыл бұрын

I don't know why it would cause that, but clearly it does.

@yengsabio5315 4 жыл бұрын

Thank you for sharing this presentation with us! Cheers & mabuhay from tropical Philippines!

@kenutcha7 4 жыл бұрын

Excellent presentation!

@helenahandkart1857 4 жыл бұрын

Fantastic presentation, thanks so much. & Extraordinary how that low dietary protein .8g/kg recommendation came about, based on such low numbers & skewed gender. Most people don't even know that it's a minimum level, not even an ideal. Far out! (&Good on you Sarah for rescuing those two lucky felines!)

@stevencole4602 2 жыл бұрын

Extremely useful. Thank you 👍🏻

@kirschkern8260 4 жыл бұрын

Important information. For cat owners same as just for humans.

@alidarwish9999 4 жыл бұрын

Thank you for excellent information concerning keto diet and kidney disease in pt with diabetic.

@JamesKing2understandinglife 4 жыл бұрын

Excellent information! Thank you. I can never hear too much about actual double blind nutritional studies. Too bad some of the participants will recieve nutrition that results in higher mortality.

@ClaritySnacks 2 жыл бұрын

Thank you!

@primitiveways7183 4 жыл бұрын

Well that was amazing very helpful info

@Earwaxfire909 4 жыл бұрын

Great presentation Sara, thank you! So many factors to consider. I wonder how metformin affects the kidneys? What about sirtuin up-regulators like oleic acid or resveratrol?

@CommunistKiro 4 жыл бұрын

Damn, this was a good talk.

@Jean-yn6ef 4 жыл бұрын

💚so much information 💚

@statman298 4 жыл бұрын

Great work! I followed you on twitter for updates. Especially research about high protein intake on non-diabetic participants, such as glomerulonephritis or those that belong to other13%.

@petercyr3508 3 жыл бұрын

I am with you on the cats. I cannot get my cats to eat real meats and organ meats. They will eat commercial wet food, but prefer the dry! What flavor do they put in this crap to make cats like ot so much?

@maxaroney 3 жыл бұрын

So Dr. Huen is it possible that the lard supplied was not pure but a combination of lard and cottonseed oil (per Dr. Knobbe's food research).

@KennethStringer1985 4 жыл бұрын

The side story you shared about your cats should be a separate video for all the cat lovers out there. (time mark 2:54 to 4:44). If this is true of cats, can the same assumption be made for dogs? My wife insist mixing rice with my dogs food, saying that their stools are too soft, more starch will fix it, but I know dogs and cats are pretty much 100% carnivores, so I fail to see the logic in feeding them more carbs, if anything, they should be eating 100% protein in my option.

@dvdv7777 3 жыл бұрын

Makes sense. Carnivores eating carbs does sound weird.

@ileanaarrieta7879 3 жыл бұрын

It is true for dogs too. I follow a vet in ig (in spanish) and she talks about dogs and cats being naturally carnivore, and that they should eat raw meat. It is a transition as well.

@Patsysmiled 3 жыл бұрын

Feed them some raw bones to improve their soft stool

@MalindaTamlyn 3 жыл бұрын

Essentially cats and dogs are similar. Saying that dogs can handle more carbohydrates then cats, but it does not mean they should. A raw food diet is best. Neither animal should have grains in there diet. Removing carbs will most likely fix their stool problem if you are not feeding processed dog food. Find a raw food manufacturer near you. They are popping up all around now days.

@julioo534 2 жыл бұрын

👀👀👀👍👍👍 I was on a 100% healthy keto with a good 63 glucose. But due to the increased cholestero and doctor&social advice i fall into a high carb diet including junk foods. Now im back on keto, hope it can improve

@verygood7155 4 жыл бұрын

I wonder if there is a translation of this lecture into layman speak?

@sharonfoust-mills936 2 жыл бұрын

Look up "Dr Fung kidney" on KZfaq

@NikolasoGames 2 жыл бұрын

You said that chronic dehydration is a cause for kidney stones, but so are high oxalate foods

@petercyr3508 3 жыл бұрын

I think any kind of dissolved/powered protein is bad because the raw protein enters the blood. It doesnt get broken down to amino acids as it should.

@rameshb9525 2 жыл бұрын

What about Gout?

@robertyang2864 4 жыл бұрын

Kidneys stones are caused by high oxalate in diet especially from grains. Insulin resistance also causes it. Speaker please learn more. Sally Norton is a good source.

@Rose_Ou 4 жыл бұрын

Sarah Huen is MD, PhD nephrologist living on a high fat low carb diet and being great proponent of low carb diets. She is aware of what causes kidney stones, and it is not always high oxalate diet. Many epileptic children on a very low carb diet develop kidney stones and yet their diet is almost devoid of carbohydrates. You so easily criticise I wonder what scientific background in nephrology do you have to be able to distinguish sense from nonsense?

@MalindaTamlyn 3 жыл бұрын

Where does someone with poly cystic kidney disease fit in all this?

@misscndnwoman2177 2 жыл бұрын

One kidney due to RCC radical nephrectomy left side. Am I in the right place please? 🇨🇦✌🙏

@Anthonyinkz 4 жыл бұрын

Avoid fructose? My diabetes doctor told me to juice fruuts daily, been doing that a year, now have NAFL disease, diabetes is worse and out of control.

@steponroach 3 жыл бұрын

Fructose is metabolized no different than a Budweiser beer. Dr Robert Lustig, Sugar the bitter truth video Stop eating grains stop eating fruit stop eating potatoes eat meat, eat a lot eat butter and lard no toxic seed oils lile soy, canola, corn, safflower, Dr Chris Knobbe Dr Eric Westman Dr Sarah Halberg of Virta Health Dr Jason Fung

@dvdv7777 3 жыл бұрын

@@steponroach Fruits, grains, potatoes are fine, just don't eat too many of those. What you really do need to cut out is soda. That's a sugar bomb. Also fruit juice. It is essentially just flavored sugar water, just like soda. Fruit juice with pulp is a bit better, but you are a million times better off just eating the fruit. Lots of fiber (in the pulp), blood sugar increase is much less pronounced. Oh, also, white bread, especially the one with sugar inside. That one's also a killer. But potatoes? Fruits? Grains? Our ancestors have been eating those, no problem, they just didn't eat as many of them as we do these days.

@Patsysmiled 3 жыл бұрын

Please look for another doctor

@DJMT-Africa 2 жыл бұрын

@@dvdv7777 The problem is people always underestimate how much is enough. So best to avoid carbohydrates altogether, and that includes fruit. Our ancestors ate fruits and plants, but seasonally. We are talking 2 - 3 months of the year, during the summer. So for much of the year, they did not suffer with being slightly diabetic or insulin resistant, and all that self-corrected by the time summer returned. There were no grains during the hunter-gatherer era, because agriculture has only been around for about 10,000 years. The 24/7/365 access to carbohydrates was never intended for the way the human body is currently designed. It's no wonder that we are getting sicker, fatter and dying younger, despite 50+ years of "eat less, move more, avoid saturated fat, eat more whole grains".

@fw1421 4 жыл бұрын

All this tech talk goes over my head. Tell me what I can eat and how much.

@thalesnemo2841 4 жыл бұрын

@fw1421 Eat real foods with no ingredients label! Eat plenty of eggs, meats and saturated fats ( no seed oils) Butter , ghee , lard, tallow and suet are GOOD FATS. Cheeses, yogurt (plain) and kefirs are GOOD (check for added sugars ) [ It is easy to made yogurts at home using a Sous Vide ] SKIP ALL GRAINS , POTATOES AND FRUITS !

@EarmuffHugger 4 жыл бұрын

@@thalesnemo2841 Good, this is my diet. However I think I now need an occasional lemon or high acidic fruit to help cleanse urinary tract.

@amuslim3706 3 жыл бұрын

@@EarmuffHugger I've been thinking of putting a splash of cranberry or cran/pomegranate occasionally in my pellegrino seltzer. Maybe that will help.

@slightlygruff 2 жыл бұрын

but lifespan of traditional masai and inuit are short

@MiLitioN 3 жыл бұрын

You’re comparing a cat vs a human. A carnivore vs a frugivore. At least you found out that if a species does not adhere to their species specific diet, then they will get sick and have disease. Same goes for us, we are not special beings that can defy the laws of nature, and yes health is that simple.

@leefel13 4 жыл бұрын

Would be nice to know how vitamin D can damage kidneys.

@a3300000 Жыл бұрын

It’s the exact opposite of what the government recommends.

@sunnymagnuson1809 Жыл бұрын

I think every carb you put in your body is the same as putting sugar in your body.

@noformstyle Жыл бұрын

LOW CARB requires HIGH FAT,,, SO does HIGH FAT and SAT FAT exceeding 20grams, damages KIDNEY???

@manuelabigvava8235 4 жыл бұрын

✌️👏

@witcheater 4 жыл бұрын

(Indicative of why I am single in a world of vast amount of women) That is a women I would willingly go home to. Hot damn on her intellect 👍

@drcrispyjohnson2242 4 жыл бұрын

First public comment 👍

@general_electrics 4 жыл бұрын

4:03 - What was her point about excess carbohydrates leading to obesity? *Excess dietary fat will also lead to obesity.* Even excess protein can lead to obesity.

@Ry-lx2kl 4 жыл бұрын

The cat's normal diet was carnivorous. What changed was carbohydrates were added to their food supply. The result was the cats had the medical problems, including obesity.

@RAO.NUTRITION 4 жыл бұрын

She meant that carbohydrates are less satieting and are easy to overeat. Hence most people eating high carb get fat and develop insulin resistance.

@-astrangerontheinternet6687 4 жыл бұрын

Excess carbohydrates lead to obesity. The only roles for carbs in the body is energy, what we eat is stored. First in glycogen stores, then as triglycerides in fat cells. Fats and proteins have other roles in the body. While some is used for energy, the components of fat and protein are channeled to generating enzymes, vitamins and hormones, and to rebuilding cells instead of storing energy. The standard model, calories in/ calories out and a calorie is a calorie- is wrong.

@andoletube 4 жыл бұрын

Ketogenic diets result in much lower insulin levels. High insulin levels lead to increased food cravings, and puts your body into fat storage mode which makes it very hard to metabolise fat stores. People on high fat diets have highly moderated appetite. I know this because previously when I was on a carb-based diet, I would struggle enormously with feeling hungry for much of the day. I couldn't control my eating and portions because my body was assaulting me with hunger messages due to the rebound from the last carb-based meal and insulin blast I had. Now that I'm on Keto, I don't overeat, I don't even get very hungry. I eat very moderately and sustainably. What used to be called a behavioural/psychological case of addictive eating turned out to be nothing more than a poor response to carbohydrates. Very few people on Keto consume more calories than they require - it's self regulating. But you must not combine high fat with high carb or you're in for a world of pain!

@peaked_aussie 4 жыл бұрын

It's very hard to become/stay obese if most of your calories are coming from fat and if your carbohydrate intake is low. This is due to the satiation factor in the hormones promoted by a high fat, low carb diet. See Gary Taubes, 'Good Calories, bad calories'

@spark_6710 3 жыл бұрын

Wild cats ,lions,cheetahs, leopards ,tigers ,all die from kidney failures !!!

@spark_6710 3 жыл бұрын

I disagree ! Cats are sheer carnivores ,but us , humans are not !!! We only have a few molars in the mouths & our colons are more complex than carnivore's ( simple & more direct ones ) ! I strongly believe organic vegan diet is the best as kidneys don't get deteriorated by organic & plants produces much at all vs meat's phosphorus scars & destroy the kidneys !!! And plant based diets ALKALIZE our bodies ,not acidify = sick ,or dead ,like meats as meats are VERY ACIDIC !!!Though ,only one concern comes w/ vegan diets when it comes to kidney diseases is the blood circulations ! We should take liquid iron & b12 supplements ! But, remember ,plants's chlorophyll ( orginated in plants ) & folate to make blood ,too ! 💜🥁🐉🎵💞

@DJMT-Africa 2 жыл бұрын

When humans lived 200,000 years ago, care to tell me which drug store they went to for their liquid iron and B12 supplements?